Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $2,290.87 / $6,918.31	Facility		$501.19	$2,290.87	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $288.40	Professional		$89.13	$151.36	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $147.91 / $199.53	Professional		$58.88	$147.91	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $138.04 / $588.84	Facility		$83.18	$138.04	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $218.78	Professional		$97.72	$151.36	$218.78
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $213.80 / $281.84	Facility		$158.49	$213.80	$281.84
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $112.20 / $169.82	Professional		$57.54	$112.20	$169.82
Christus Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $138.04 / $154.88	Facility		$87.10	$138.04	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $263.03	Professional		$109.65	$169.82	$263.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $3,890.45	Facility		$54.95	$56.23	$3,890.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $1,412.54	Professional		$1,202.26	$1,412.54	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $173.78 / $2,951.21	Facility		$95.50	$173.78	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $295.12	Professional		$93.33	$154.88	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $141.25	Professional		$32.36	$33.11	$141.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $173.78 / $338.84	Professional		$93.33	$173.78	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $147.91 / $234.42	Facility		$91.20	$147.91	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $269.15	Professional		$112.20	$177.83	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,047.13 / $2,691.53	Facility		$158.49	$1,047.13	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $208.93	Professional		$93.33	$138.04	$208.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88